During my recent trip back east I had the opportunity to drop in on the inpatient pharmacy at Northwestern Memorial Hospital in downtown Chicago. The reason for the visit was simple. I was already in Chicago for the ASHP Summer Meeting and Northwestern utilizes some of the same pharmacy automation as Kaweah Delta. One would think that the same automation would equal the same procedures, but nothing could be further from the truth. This is one of the fundamental problems with hospital pharmacy in general. Lack of standardization equates to the inability to share information across multiple facilities. Best practice is elusive when talking about automation in pharmacy.